NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1467004515 MD
Verify on CMS → MUSTAFA ALI, MD
Student in an Organized Health Care Education/Training Program in SIOUX FALLS, South Dakota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
Federal data — no proprietary rating.
PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
151
Medicare Part D claims · 28 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: MUSTAFA ALI, MD is a Student in an Organized Health Care Education/Training Program ([object Object]) practicing in SIOUX FALLS, South Dakota with a Medicare Part D prescribing footprint of 151 claims across 28 beneficiaries — 51% brand-name prescribing .
What stands out: MUSTAFA ALI, MD filed 151 Medicare Part D claims in 2023 across SIOUX FALLS, South Dakota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.
MUSTAFA ALI, MD at a glance
Quality data not reportedPrimary specialty
Student in an Organized Health Care Education/Training Program
Medicare Part D claims
151 67% vs specialty avg
Specialty distribution in South Dakota
How Student in an Organized Health Care Education/Training Program compares to other specialties among South Dakota providers
Student in an Organized Health Care Education/Training Program share within South Dakota
Specialty board-certification context
Estimated specialty board-certified rate — Student in an Organized Health Care Education/Training Program (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Student in an Organized Health Care Education/Training Program ABMS/AOA estimate
Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — ABMS / AOA estimate
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
MUSTAFA ALI, MD is a Student in an Organized Health Care Education/Training Program provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1467004515. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.
MUSTAFA ALI, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 1420 W 22ND ST STE 407, SIOUX FALLS, SD, 57105, with a listed phone of (605) 328-8900. NPI 1467004515 was issued on 07/09/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 151 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $46K in drug spend, split 51% brand-name and 49% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.
Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1467004515 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/09/2019 |
Hospital and facility affiliations
Facilities where MUSTAFA ALI, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
SANFORD HEALTH NETWORK
ABERDEEN, SD
SANFORD MEDICAL CENTER
SIOUX FALLS, SD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Brand-heavy
MUSTAFA ALI, MD — brand share 51.0%
Specialty average (est.)
51% brand-name claims vs 49% generic, on 151 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
151
Total Claims
$46K
Total Drug Cost
28
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 240
- Total Day Supply
- 6,624
- Brand vs Generic
- 51% brand / 49% generic
- Brand Drug Cost
- $42K
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 69.3 years
- Avg HCC Risk Score
- 1.95
- Gender Split
- 54% female / 46% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 39 |
| Prednisone | 14 |
| Spiriva Handihaler Tiotropium Bromide | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
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Student in an Organized Health Care Education/Training Program Overview
How MUSTAFA ALI, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider
MUSTAFA ALI, MD's 151 claims are below the specialty average of 459.
Nearby Student in an Organized Health Care Education/Training Program Providers in South Dakota
Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as ALI.
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Frequently Asked Questions
What is MUSTAFA ALI, MD's specialty? ▼
MUSTAFA ALI, MD specializes in Student in an Organized Health Care Education/Training Program and practices in SIOUX FALLS, South Dakota. Credentials: MD.
How much does MUSTAFA ALI, MD prescribe under Medicare Part D? ▼
In 2023, MUSTAFA ALI, MD wrote 151 Medicare Part D claims totaling $46K in drug costs for 28 beneficiaries.
Where is MUSTAFA ALI, MD located? ▼
MUSTAFA ALI, MD is located at 1420 W 22ND ST STE 407, SIOUX FALLS, SD, 57105. Phone: (605) 328-8900.
What is MUSTAFA ALI, MD's NPI number? ▼
MUSTAFA ALI, MD's National Provider Identifier (NPI) is 1467004515, issued on 07/09/2019.
Does MUSTAFA ALI, MD prescribe more brand-name or generic drugs? ▼
MUSTAFA ALI, MD's prescribing is 51% brand-name and 49% generic drugs by claim count, with $42K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does MUSTAFA ALI, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, MUSTAFA ALI, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Prednisone, Spiriva Handihaler. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MUSTAFA ALI, MD accept Medicare? ▼
MUSTAFA ALI, MD appears in CMS Medicare data with 151 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MUSTAFA ALI, MD's credentials? ▼
MUSTAFA ALI, MD's NPI is 1467004515 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology